NPIMap

Organization Active NPI

Virdi Eye Clinic of Iowa

  • Ophthalmology Physician
  • Clinton, IA
National Provider Identifier
1992003677
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39332 Issued in IA
Legal business name
VIRDI EYE CLINIC OF IOWA
Practice address
1015 13TH Ave N
Clinton, IA 52732-3479
Phone
(563) 219-8044
Fax
(563) 219-8027
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Navaneet S.C. Borisuth
Title
MD
Phone
(563) 264-3414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 39332 IA Primary

Addresses

Primary practice location

1015 13TH Ave N
Clinton, IA 52732-3479

Mailing address

315 Parham St
Suite a
Muscatine, IA 52761-2604

Other identifiers 1

IdentifierTypeStateIssuer
0270728MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1992003677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST",
            "address_2": "SUITE A",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323479",
            "telephone_number": "563-219-8044",
            "fax_number": "563-219-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRDI EYE CLINIC OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "BORISUTH",
        "authorized_official_first_name": "NAVANEET",
        "authorized_official_middle_name": "S.C.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "563-264-3414"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "39332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270728",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.